Miranda Morningstar, LSW
Individual provider Active NPI Social Worker · Lewisburg, PA
NPI 1659627412 · NPPES record last updated Jul 31, 2012
Key facts
- NPI
- 1659627412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SW129675 (PA)
- Practice address
- 32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770 - Phone
- (570) 522-0304
- Fax
- (570) 522-0475
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW129675 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emery Behavioral Health Services, Inc. | Social Worker | Past |
Accepting new patients |
| Emery Behavioral Health Services, Inc | Social Worker | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW129675 | PA | Yes |
Addresses
Primary practice location
32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770
Mailing address
32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770
Phone (570) 522-0304
Other providers in Lewisburg, PA
- Joan L Moreau
- James W Morgan Jr.
- Nancy Morgan
- Kellie Dudash Morland
- Brittany Anne Morlock
- Michael Douglas Morrison
- Michele Lynn Moseley
- Diann Mossel
- Christopher J Motto
- Move and Grow Physical Therapy LLC
All providers in Lewisburg, PA · Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.